What nutritional risks are related to hydration and kidney function?

What nutritional risks are related to hydration and kidney function?

Imagine that you are a clinical nutrition assistant working at a local hospital under the supervision of a Registered Dietitian (RD). Overnight, a 74-year-old male patient was admitted to the hospital and needs to be fully assessed for any nutritional risks (in accordance with hospital/medical nutrition care laws). The hospital’s initial nutritional screening protocol identified that the patient may be at nutrition risk, due to a “high risk admitting diagnosis.” The admitting physician suspects that the patient has suffered a heart attack; however the full cardiac consult results are not yet showing in the computer. Furthermore, the patient has recently moved here to the U.S. from a foreign country within the past year so that his daughter can help care for him due to his declining health. The entire family speaks very little English. The patient’s cultural background is significant because the culture may not place much influence on western-style healthcare practices. The patient’s expression of his culture needs to be examined further. The nurse’s notes reveal that the daughter does not know how much her father weighs, but she suspects that he has gained weight since her mother passed away a year ago.

Your assignment from the supervising RD is to examine the patient’s complete cultural, social, medical, and nutritional background so that the next steps of the Nutrition Care Process can be instituted. Upon your initial investigation within the hospital’s electronic medical records system, you notice that there is no height or weight listed for the patient. The diet order reads: NPO (nothing by mouth) and they are awaiting more lab results for various tests related to hydration and kidney function. His cardiac enzyme lab work indicates that he suffered a Myocardial Infarction (MI). The MD notes confirm a heart attack diagnosis and the MD also noted that the patient “appears to be morbidly obese.” His medications include: a blood pressure medication, a diuretic, and a cholesterol-lowering drug.

Imagine that you have to complete this “demographic/cultural” background patient research for your supervisor within the next couple of hours. Record and describe this fictional patient’s cultural background information by listing the answers to certain questions (translator may be requested in hospitals). Record observations, human expressions, and any other unique characteristics about the patient’s culture or background that may impact his ability to adhere to any type of medical nutrition therapy, nutrition education, or dietary restrictions. (You may use information created in the Unit 6 Discussion Board here).
The patient and daughter are unaware of the patient’s current height and weight. His hospital bed unfortunately does not have a built-in weight scale. The patient is unable to stand upright due to his medical condition. Therefore, list and describe one alternative way to estimate height (stature) and one alternative way to estimate a person’s weight that is covered in Chapter 7 of the textbook. (Refer to page 254 for general ideas and Tables 7.1, 7.3, and 7.4.)
Based on your knowledge of the patient’s cultural background as well as your evaluation and observations of your current interactions with the patient and daughter, do you believe the patient will comply with the MD suggesting a strict, very low calorie (1000–1200 calories), low fat, low cholesterol, and low salt diet, due to the heart attack/cardiac consultation results and morbidly obese appearance?
Suggested change: How will you relay your assessment of the patient’s readiness to comply with a highly restrictive diet with the supervising dietitian? How can you use your knowledge of the patient’s cultural background to instill motivation and the desire to improve his health by eating a healthy diet? Do you think the patient should be placed on the exact diet the physician is recommending?


 

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Ventilatory circuit related problems

Learning Objectives Covered:

1. Identify changes in ventilator graphics based on the patient’s lung condition

2. Identify changes in ventilator graphics caused by inappropriate ventilator settings or equipment or device malfunctions

Background

Ventilator graphics provides the clinician with a valuable monitoring and diagnostic tool to help them achieve the best possible patient outcomes.  Though mechanical ventilators measure various lung pressures, volumes and mechanics these values within themselves are not enough to give us a complete understanding of the various changes that can occur within a patient’s lungs. The values measured and provided by ventilators are invaluable; however, these values are enhanced when we also consider ventilator graphics. Let’s look at an example of how graphics work. We take a patient’s blood pressure which gives us a digital numerical display of the pressures within the blood vessels and the rate of their heartbeat. Assessing a patient’s blood pressure and heart rate helps us to evaluate the rate and strength of their heartbeat. However, what if we were to perform an EKG or place a patient on a heart monitor? Not only will we assess their heart rate and the strength of their heartbeat but it will also provide us with valuable insight into the heart’s rhythm. The heart is electrically conducted so being able to view the heart’s function during each heartbeat provides us with more information. It also gives us an opportunity to identify many more abnormalities that we would otherwise overlook.

Instead of only looking at numerical values to help us understand patient-ventilator interaction, ventilators incorporate graphical displays (waveforms) which give us greater insight into the changes that occur in a patient’s lung mechanics over a period of time. Ventilator waveforms are a useful tool in detecting abnormalities such as

Abnormal ventilatory parameters/lung mechanics

· Alveolar overdistention

· Auto-PEEP (air trapping)

Patient-ventilator Interaction

· Patient-ventilator dyssynchrony

· Flow starvation

· Auto-triggering

Ventilatory circuit related problems

· Auto-cycling

· Secretion buildup in the ventilator circuit

Interpreting ventilator waveforms takes practice so don’t become discouraged if you don’t become an expert by the end of this course (I don’t expect you to).

As we previously discussed there are two types of ventilator waveforms: scalars and loops. Scalars are waveform representations of pressure, flow or volume on the y- axis vs. time on the x- axis. Loops are representations of pressure vs. volume or flow vs. volume.

Let’s take a closer look at recognizing lung overdistention. There are many waveforms we can look at to recognize lung overdistention but let’s take a look specifically at a pressure-volume loop. Since lung overdistention can be caused by the delivery of too much pressure or volume during inspiration then the pressure-volume loop is ideal. A normal pressure-volume loop is shown below.

 

Now notice below what can happen when we deliver high tidal volumes during volume ventilation or too much pressure during pressure- controlled ventilation.

Correcting lung overdistention is done by first recognizing that it is occurring and secondly by decreasing either tidal volume (if in volume control ventilation) or peak inspiratory pressure (if in pressure control ventilation).

Prompt

For this assignment, you will provide detailed responses to the following questions:

Pressure-volume loops assess compliance, which is measured by the change in volume for a given change in pressure. Another benefit of pressure-volume loops is the assessment of PEEP during mechanical ventilation. Application of PEEP may increase compliance.

1. How does the addition of PEEP increase compliance and affect the pressure-volume loop?

2. How are pressure-volume loops useful in determining optimal PEEP levels?

Use a pressure-volume image in your responses that illustrate your response. Be sure to cite your source.

Flow volume loops are used to obtain information about airway resistance.

3. List and describe at least two conditions that are easily recognized with flow volume loops.

Use a flow-volume image for each condition in your response. Be sure to cite your source.

Submit your answers in at least 500 of your own words on a Word document. You must cite at least three references in APA format to defend and support your position.

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Imagine that you are the coach of an elite-level athlete in training for the upcoming Olympic Games. 

Essay: Peak Performance in AthletesPart I:Imagine that you are the coach of an elite-level athlete in training for the upcoming Olympic Games.
Create a hypothetical athlete in a sport of your choice. Discuss how you would use a specific model or models as a knowledge base of psychological preparation for peak performance to mentally prepare this athlete to achieve a peak performance in his/her event at the Olympics. In your answer, explain the relationship between psychological factors and performance. Also be sure to provide specific examples and details to illustrate your understanding of the model(s) you have chose to use.The following resources will give you a good starting point for your research:Developing a mental game plan: http://thesportjournal.org/?s=Developing+a+mental+game+planPerformance Imagery: https://www.psychologytoday.com/blog/the-power-prime/201211/sport-imagery-athletes-most-powerful-mental-toolYouth Football Players and Psychological Preparation: http://usafootball.com/blogs/health-and-safety/post/9067/5-mental-preparation-strategies-for-athletesPart II:Compare and contrast the list of psychological skills with the list of psychological characteristics associated with peak performance in athletes. Discuss the extent to which the use of psychological skills (such as imagery, thought control, and so on) can have an impact on various psychological characteristics (such as confidence and concentration). Illustrate your answer with examples from sport or your own personal experiences. You can use some of the resources below as a starting point for your research. Follow APA guidelines for writing and citing sources.The following resources will give you a good starting point for your research:The role “character” plays in athletic excellence: A look at elite athletes and their coaches:http://www.usapowerlifting.com/newsletter/20/coaching/coaching.htmlPsychological aspects of peak performance: www.drrelax.com/slideshw2.ppsPsychological characteristics of elite atheletes: http://www.elitetrack.com/article_files/sportpsych.pdfWrite a 2–3-page essay and present it in Microsoft Word document format.
Name the file M1_A4_LastName_PeakPerformance.doc and submit it to the Submissions Area by the due date assigned.All written assignments and responses should follow APA rules for attributing sources.
Assignment 4 Grading Criteria Maximum Points Explained how you would mentally prepare the athlete to achieve peak performance using your knowledge of the model(s) of psychological preparation for peak performance reviewed for this assignment.
8 Explained the relationship between psychological factors and performance.
8 Provided specific examples and details to illustrate your understanding of the model.
8Compared and contrasted the list of psychological skills with the list of psychological characteristics associated with peak performance in athletes.
8 Discussed the extent to which the use of psychological skills can have an impact on various psychological characteristics.
12 Wrote in a clear, concise, and organized manner; demonstrated ethical scholarship in accurate representation and attribution of sources, displayed accurate spelling, grammar, and punctuation.

 
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Food and nutrition

Food and nutrition

Question descriptionPlease read the Position Paper of the AND posted on Canvas. Answer the following questions and follow the instructions below about the format of the assignment. You must work individually on this project but are allowed to supplement your reading of the position paper with information from other professional resources which you will list on the References page. You may not consult with anyone else as you complete the project.

Page 1: Title page with your name and the signed and dated academic integrity statement.I HAVE ABIDED BY THE UNCG ACADEMIC INTEGRITY POICY ON THIS EXTRA CREDIT ASSIGNMENT. (sign and date)

Page 2: Answer the questions listed below, related to the Position Paper, on one page. Answers must be typed with 11 or 12 pt Times New Roman font, single spaced, with 1-inch margins.

Page 3: List the references you used for this assignment. You should have at least one reference listed (the position paper), and also any other web sites, class material, or other resources you used to complete this assignment.

Questions:

1.Describe the main topics of the position paper and highlight the purpose of this position paper. (3 points)

2.Explain 3 key resources available through federal food and nutrition assistance program, what the resources provide, and specific requirements for who is eligible to obtain this assistance. (6 points)

3.Provide an overview of the conclusions made in the position statement about the role of nutrition assistance programs and nutrition services for successful aging.(1 point)

 
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What is the role of leadership as it relates to vision, mission, and strategy in an organization? Give specific examples.

WHAT IS THE ROLE OF LEADERSHIP AS IT RELATES TO VISION, MISSION, AND STRATEGY IN AN ORGANIZATION?

1. Chapter 4: Leadership, Strategy, Power, Politics, and Influence


Required Multimedia

Sivers, D. (Writer and producer). (2010). The first followerLeadership lessons from a dancing guy [Video]. Retrieved from http://sivers.org/ff


Discussions

To participate in the following Discussion Forums, go to this week’s Discussion link in the left navigation:

  1. Frame of ReferenceTake Assessment 4.3 (Your Leadership Frame of Reference) see attachment. Tally your scores and report your scores in your initial post. Also in your initial post, analyze what the scores of the assessment reveal about your Frame of Reference. Do you think the assessment is accurate? Why or why not? Would you want to change your approach? Why or why not? What are you going to do to improve or change your frame of reference as you are more involved in leadership?.

    Guided Response: Your initial post should be at least 200 words in length.  Support your claims with examples from required material(s)

    and/or other scholarly resources, and properly cite any references. Respond substantively to at least two of your classmates posts.

  2. Vision, Mission, StrategyWhat is the role of leadership as it relates to vision, mission, and strategy in an organization? Give specific examples.

    Guided Response: Your initial post should be at least 200 words in length.  Support your claims with examples from required material(s)

    and/or other scholarly resources, and properly cite any references. Respond substantively to at least two of your classmates posts.

    Assessment 4.4: Personal Power Profile

     

    Instructions: The following is a list of statements that may be used in describing behaviors that supervisors (leaders) in work organizations can direct toward their subordinates (followers). First, carefully read each descriptive statement, thinking in terms of how you prefer to influence others. Mark the number that most closely represents how you feel.

 
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Highlight the relevance of the Federal Medicaid Assistance Percentage (FMAP), as it relates to the ACA.

Highlight the relevance of the Federal Medicaid Assistance Percentage (FMAP), as it relates to the ACA.

Health policies must undergo policy processes of analysis prior to implementation. Pre-process, intra-process, and post-process all have major impacts on healthcare organizations and consumers. Based on the policy many people may face economical or social change, which could either be just/unjust. In a minimum of 250 words, discuss the following:

Evaluate the ACA’s impact on healthcare quality and cost.
How does the ACA impact society as a whole?
Highlight the relevance of the Federal Medicaid Assistance Percentage (FMAP), as it relates to the ACA.


 

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Examine the importance of business ethics vs. social responsibility.    Ex. Developing codes of conduct that is adverse to corporate social responsibility.     

Discuss the role of advanced practice nursing in applying drug safety in your field of practice(as a Nurse in a hospital). What strategy will you use in your own practice. 
1- A minimum of 3 paragraphs is required.
2- Support all posts with at least 2 cited peer review references within 5 years of publication (references cannot be older than 5 years). 
3- All posts are to be written in APA 6th edition format as required by the university. 
Instructions
New changes in healthcare are causing rising concerns with how healthcare organizations may be performing. With that being stated, you will focus on the following areas as to explain and evaluate operational performance and market trends in this 21st-century healthcare dynamics.
Create a 2-4 page detailed research paper that provides at least 1-3 or more examples or explanations that will address the following healthcare issues:

  1. Examine the importance of business ethics vs. social responsibility.    Ex. Developing codes of conduct that is adverse to corporate social responsibility.
  2. Compare and Contrast the use of data analytics in a data-driven society without the use of a proper IT software program to collect business intelligence.    Ex. Some providers are not using current and more applicable software programs to analyze their data; instead, they are relying on memory and checking hard copies folders to analyze patient outcomes.
  3. Explain the gap in making decisions and the validity of healthcare trends on performance without the correct data. Ex. Lack of using EMR or EHR may cause gaps in decision-making and accuracy of collecting appropriate data, which may subsequently impact performances and trends.
  4. Explained 2 importance business ethics vs. social responsibility occurrences. Provided 2 examples of business ethics vs social responsibility in a healthcare organization. Compared and contrasted 2 uses of data analytics, without a proper IT program to collect business intelligence. Provided 2 examples of data analytics use or business intelligence in a healthcare organization.Explained 2 gaps in making healthcare decision and its impact on performance. List 2 example of how a healthcare organization performance is impacted.
 
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you might find a certain area of the lifespan that interests you, social science homework help

you might find a certain area of the lifespan that interests you, social science homework help


Question descriptionyou might find a certain area of the lifespan that interests you. As you read about different age periods, you will see different milestones reached. Your task is to conduct an interview with an adult or observe a child for at least one hour (could be longer) in a setting that is appropriate for that individual (a play room or playground for a child, comfortable seating for an adult) and report what happened. This individual should not be your child or relative! Take notes during the interview or observation and then compile your thoughts into a 3-5 page paper that describes the experience and connects the experience to the material in the class text about the developmental stage of that person. The paper should be in APA format (described in the “Specifics” section) and should include references to the text (in-text citations) when describing and analyzing developmental concepts and theories.

for more information, i will attach sample and rubric of this paper below

please check rubric below carefully and follow this rubric.

also if you choose any child or adult please provide name for me, thank you.

 
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Please reflect on your individual beliefs about mental health and any concerns you may have about the topic(mental health).

mental health, health and medicine homework help

Question description

  • Please reflect on your individual beliefs about mental health and any concerns you may have about the topic(mental health).
  • Include a statement of how you see yourself using your study of mental health in nursing practice. Are you interested in working specifically in a psychiatric setting, and why? Are you not at all interested in working in a psychiatric setting, and why?
  • Support your opinions or ideas with at least two sources; You may also include stories from your family, work, or clinical experiences as long as you maintain confidentiality.
  • It is expected that this essay will be 2-3 pages in length (not including the title page), double-spaced. Include an introduction and conclusion and proper APA citations from any source material you use, including your text.
 
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Discuss the issues in health information technology advances that will impact Healing Hands Hospital in the future with possible consolidation

Discuss the issues in health information technology advances that will impact Healing Hands Hospital in the future with possible consolidation

Discuss the issues in health information technology advances that will impact Healing Hands Hospital in the future with possible consolidation/expansion and the impact on quality of care and reimbursement for provided services.
This is Part 1 of the Key Assignment. It covers all objectives from Weeks 1–3 and new topics and objectives in Week 4. This is the draft of your Final Report to Mr. Magone and Healing Hands Task Force. You will complete it in Unit 5.

Continue to use the scenario to assist you with this assignment. One of the areas of concern to Mr. Magone and the senior leadership of Healing Hands Hospital is the integration and adoption of information technology systems that would be needed if the hospital consolidated with a large health system or added more outpatient services or expanded into telemedicine. As a member of the Task Force support team, you have been asked to research and discuss current and future advances and issues related to information technology in healthcare. This would include integration concerns with the Healing Hands Hospital’s current electronic health record system (EHRs), new models of decision support systems, and telemedicine with wearable tracking and smartphone linked devices.

Discuss the issues in health information technology advances that will impact Healing Hands Hospital in the future with possible consolidation/expansion and the impact on quality of care and reimbursement for provided services. Include the following information in your paper:

Future health care reimbursement trends impacted by information technology such as big data analytics and decision support systems.
Information system technologies and issues with interoperability and scalability.
Innovations in telemedicine and tracking devices.
Add this information to your draft final report that incorporates the reports prepared in Units 1-3 IP assignments. This will be the basis for your final report to be submitted in Unit 5.


 

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